Preparation, General Survey, Pain Assessment, and Vital Signs

Flashcards covering preparation, professionalism, general survey, pain assessment, and vital signs checklist items.

5 Steps of Preparation and Professionalism Broad

Supplies, Hands/Intro, Identify, Privacy, Explain/Consent

5 Steps of Preparation and Professionalism Specific:

1. Gather supplies
2. Hand hygiene and introduce self
3. Pt name, DOB, wristband
4. Close curtain
5. Explain vitals and consent

7 Steps of General Survey Broad:

Appearance, LOC, Body, Movement, Face/Affect, Speech, Distress

7 Steps of General Survey Specific:

1. Appearance (age, gender, expression)
2. LOC
3. Body Structure/Nutritional
4. Movement (Posture, gait, mobility)
5. Face/Affect
6. Speech
7. Acute distress/discomfort

Pain Assessment:

Any pain present? If so, OLDCARTS acronym

What is the OLDCARTS acronym?

Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (0-10)

Vital Sign Assessments:

Temperature, Radial Pulse/HR, Respirations, Oxygen Saturation, BP

How do I measure Temp?

-Select proper equipment (oral,temporal)
-96.8-100.4

How do I measure Pulse/HR?

-Locate, count 30 sec x 2, assess rhythm/strength bilaterally
-60-100

How do I measure respirations?

-Inconspicuously, 30 sec x 2, assess effort/pattern
-12-20

How do I measure BP?

Obtain size and cuff, position pt correctly